The goal of this study is to create and evaluate an electronic health record (EHR)- based strategy that promotes best practices in pain management for a large, multi-site primary care community health center network—the Institute for Family Health (IFH). The IFH comprises 19 full-time federally qualified health centers that provide primary care to over 85,000 highly diverse, economically disadvantaged and medically underserved patients in Manhattan, the Bronx, and Mid-Hudson Valley, New York.